A Modified Surgical Method of Lower-Face Recontouring

Abstract

In general, the width of the lower face is determined by four parts: the mandible, the masseter muscle, the buccal fat pad, and the subcutaneous fat. In this article, we introduce a modified surgical method to reshape the outline of round faces that have no significant overgrowth or eversion of the lower jawbone. The procedure includes dissection of the masseter muscle and partial lipectomy of the buccal fat pad through the same intraoral small incision. The patients were satisfied with the aesthetic outcome of both the profile and frontal view. Follow-up of more than 6months shows no prospective complications. This method yields an optimal aesthetic result in patients who have a round face without significant overgrowth or eversion of the lower jawbone. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .